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Organization
JOSHUA D HENDRICKSON LCSW PLLC
Active
Organization
JOSHUA D HENDRICKSON LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA HENDRICKSON (PROVIDER)
(631) 838-7183
Entity
Organization
Contact information
Practice address
1394 ROANOKE AVE STE A, RIVERHEAD, NY 11901-2100
(631) 838-7183
Mailing address
1394 ROANOKE AVE STE A, RIVERHEAD, NY 11901-2100
(631) 838-7183
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
11/07/2019
Last updated
11/07/2019
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